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JEFFREY PETERSON ATC
NPI 1245630177
Specialist/Technologist - Athletic Trainer in Ham Lake, MN

Active since August 28, 2014
17735 XYLITE ST NE, HAM LAKE, MN 55304(763) 213-2033 Get Directions Write a Review

NPPES record last updated: August 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeffrey Peterson Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY PETERSON ATC (NPI 1245630177) is an individual athletic trainer provider in Ham Lake, Minnesota and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1245630177
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJEFFREY PETERSONCredential: ATC
Location Address17735 XYLITE ST NEHam Lake, MN 55304-4436
Mailing Address17735 Xylite St NeHam Lake, MN 55304-4436
Phone(763) 213-2033
Sole ProprietorNo
Enumeration DateAugust 28, 2014
✔ NPI 1245630177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
17735 XYLITE ST NE, Ham Lake, MN 55304
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Peterson's NPI number?

The NPI number for Jeffrey Peterson is 1245630177. It was assigned to this individual provider in the NPPES registry on August 28, 2014.

Where is Jeffrey Peterson located?

Jeffrey Peterson practices at 17735 Xylite St NE, Ham Lake, MN 55304. The listed phone number is (763) 213-2033.

What is Jeffrey Peterson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Jeffrey Peterson was last updated on August 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.